Wakabayashi Hidetaka
   Department   School of Medicine(Tokyo Women's Medical University Hospital), School of Medicine
   Position   Professor and Division head
Article types Original article
Language English
Peer review Peer reviewed
Title Dysphagia Assessed by the 10-Item Eating Assessment Tool Is Associated with Nutritional Status and Activities of Daily Living in Elderly Individuals Requiring Long-Term Care.
Journal Formal name:The journal of nutrition, health & aging
Abbreviation:J Nutr Health Aging
ISSN code:17604788/12797707
Domestic / ForeginForegin
Volume, Issue, Page 20(1),pp.22-27
Author and coauthor Wakabayashi Hidetaka, Matsushima Masato
Authorship Lead author,Corresponding author
Publication date 2016/01
Summary OBJECTIVES:The 10-item Eating Assessment Tool (EAT-10) is a self-administered questionnaire for dysphagia screening, with each item scored from 0 to 4. We assessed the associations among the EAT-10 score, nutritional status and activities of daily living (ADL) in elderly individuals requiring long-term care.DESIGN:Cross-sectional study.SETTING:Geriatric health services facilities, acute hospitals, and the community.PARTICIPANTS:Elderly individuals ≥65 years of age with dysphagia or possible dysphagia (N=237).MEASUREMENTS:The EAT-10, the Mini Nutritional Assessment Short Form (MNA-SF) and the Barthel Index.RESULTS:There were 90 males and 147 females. Mean age was 82 ± 8 years. Eighty-nine were in geriatric health services facilities, 28 were in acute hospitals, and 120 were community-dwelling. The median Barthel Index score was 55 (interquartile range: 25, 80). The median EAT-10 score was 1 (interquartile range: 0, 9), and 101 respondents a score > 3, indicating the presence of dysphagia. The MNA-SF revealed that 81 were malnourished, 117 were at risk of malnutrition, and 39 had a normal nutritional status. The Barthel Index score and MNA-SF score were significantly lower in those with an EAT-10 score between 3 and 40, compared to those with an EAT-10 score between 0 and 2. The EAT-10 has an independent effect on the Barthel Index and the MNA-SF by adjusting for covariates such as age, gender, and setting in multiple regression analysis.CONCLUSIONS:Dysphagia assessed by the EAT-10 is associated with nutritional status and ADL in elderly individuals requiring long-term care.
DOI 10.1007/s12603-016-0671-8
PMID 26728929